You can take one Vistaril every 6-8 hours as needed. Therefore, the less of them you take the better. It does, however, help the pain medications work better so you have to take less pain medications, which all have similar side effects. Vistaril (hydroxyzine): This is actually an anti-itch, anti-anxiety medication however, it doesn't do either of these very well. Acetaminophen can affect the liver when taken for long periods of time, and is often avoided in those with certain liver conditions. This equates to about 2 over the counter extra-strength tablets every 6 hours. Recommendation are to not exceed a total of 3000-4000 mg per day. This is a good way to transition off of pain medications following surgery. It is often times used in the intravenous form to control pain during surgery. Tylenol is actually a very good pain medication. Tramadol (Ultram): this is not considered a narcotic pain medication but can have many of the same effects on the brain and other organs as narcotic pain medications. However, these are typically reserved for those with allergies to other pain medications as they are quite expensive. There are both long-acting and short acting medications. Nucynta (tapentadol): this is a newer pain medication that may have fewer side effects than some of the other narcotic pain medications. The maximum Tylenol dosage is 4000 mg per day. However, as you wean off these narcotic pain medications, Tylenol is a great pain reliever and can be used. These medications contain Tylenol (acetaminophen) so you cannot take Tylenol and these medications together. There are varying strengths so if not working for you or if it is too strong please call Dr. You can take up to two every 4 hours as needed for pain. I typically will tell patients to take 1 of every 6 hours to prevent getting behind and having to play catch up. The key is not to get behind on the pain the first couple of days. Norco (Hydrocodone/apap OR hydrocodone/acetamoniphen): These are shorter acting medications, but still require 30-45 min to begin working. Percocet (oxycodone/apap OR oxycodone/acetaminophen): These are shorter acting medications, but still require 30-45 min to begin working. You can take two over the counter extra strength Tylenol (500 mg each-total of 1000 mg) 4 times per day (total of 4000 mg per day maximum). This medication does not contain Tylenol (acetaminophen) so you can take Tylenol and these medications together. Oxycodone: These are shorter acting medications, but still require 30-45 min to begin working. This is typically given so that you take one pill every 12 hours for the first few days after surgery. I usually will give it to patients that have had nerve blocks due to the fact that they can take it the evening of surgery and this allows for a baseline pain relief so that when the block wears off you have some pain medication on board. Typically, it is given to help with pain for the first 5-7 post-operative days. Oxycontin: This is a long acting pain medication. You should also speak with your pharmacist about any warnings associated with the medication or drug interactions with other medications you are taking. Medication Instructions based on medications given (prescribed)įor all medications, please read package insert thoroughly to understand side effects and interactions.
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